Compassionate Homes & Medical Supplies Services Corp

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COMPASSIONATE HOMES & MEDICAL SUPPLIES SERVICES CORP

Practice address

6730 Goldeneye Dr
Orlando, FL 32810-6088

Phone

(904) 551-0465

Fax

(904) 551-0465

NPI assigned

Jul 27, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gloria A Adesanya, PRESIDENT

Title

Ceo

Phone

(904) 551-0465

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1437636818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 GLENN HOLLOW CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322262352",
            "telephone_number": "904-551-0465",
            "fax_number": "904-551-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 GOLDENEYE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106088",
            "telephone_number": "904-551-0465",
            "fax_number": "904-551-0465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3419 Glenn Hollow Ct",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322262352",
            "country_code": "US",
            "telephone_number": "904-551-0466",
            "fax_number": "904-551-0465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASSIONATE HOMES & MEDICAL SUPPLIES SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "ADESANYA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-551-0465",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Orlando, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.